If you cannot access the online or paper forms, contact UMP Customer Service at 1-888-849-3681.
You can fill out this application online and click 'submit' OR download the form (123K), print and mail it to:
Bariatric Surgery Request
P.O. Box 2998
Tacoma, WA 98401-2998
Please do not send any other paperwork or records at this time.
Click here to access the online application